NPI |
1659021517 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
LOWERY |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
AMANDA |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Credential Text |
LICSW |
The country code in the location address of the provider being identified. |
Provider First Line Business Practice Location Address |
9600 VETERAS DRIVE SW |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
TACOMA |
The fax number associated with the location
address of the provider being identified. |
Provider Business Practice Location Address State Name |
WA |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Business Practice Location Address Postal Code |
984930001 |
The date that a record was last updated or changed. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
2532798692 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
3/24/2022 |
The middle name of the authorized official. |
Last Update Date |
4/20/2023 |
The title or position of the authorized official. |
Provider Gender Code |
F |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
1041C0700X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
NPI Certification Date |
4/20/2023 |
|